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Conditions and Diseases > Stroke Forum > Pathology of a stroke
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Q: Pathology of a stroke
asked by: DoctorQuestion on September 21st, 2009
My mother had a stroke just over two months ago. She was lucky in that it was quite minor, and has been left with only a few symptoms including a reversal of the hot/cold sensation down one side and what she describes as pins and needles in one leg. She was a heavy drinker and smoker before the stroke and started drinking again soon after. As i feared she has since started smoking again as well.

Although she has been made aware of the likely causes behind her stroke, ie. weight and smoking she seems to be in denial.

She is taking blood thinning tablets daily as prescribed by her doctor which she seems to think will counteract the smoking. But even with these what is the REALISTIC likelyhood of her suffering another stroke or worse if she continues her lifestyle as she is?

Also i have heard of a pill you take for a month or so that tricks the brain into hating smoking and can be used as an aid to giving up. Is it recommended?

Thankyou in advance for your help in this matter,


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Dr. Goce Aleksovski , MD
replied on October 5th, 2009
Stroke Answer A7441
Stroke is a loss of brain functions accompanied with neurological disorders that do not subside within 24 hours. It is due to a lack of blood supply which causes an infarction of the affected tissue or due to a hemorrhage.


It is important what the exact cause is, because in cerebral infarction the tissue is already damaged and the symptoms are less likely to disappear, where as in a hemorrhage the blood might be absorbed or surgically removed which would decrease the pressure on the brain tissue which is actually responsible for part of the symptoms.


The risk for recurring stroke is highest within the first few weeks and months. The risk is about 14% in the first year and about 5% thereafter. This increases to 40% if a previous transient ischemic attack is included as a risk for stroke. You might want to visit a neurologist for more detailed information about a stroke prognosis.


As for quitting smoking, there are a great number of pills that might help you to quit smoking. Certain of them are chemical substances that attach to certain receptors in the brain, thus competing with nicotine. Others are herbal extracts that try to mimic the presence of nicotine in the body, thus decreasing the urge for smoking.


You might want to visit your family doctor for more information about available “stopping smoking” pills in your area.




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